Moriarty, Dan
Moriarty, Dan is an individual health care provider with primary practice located at Va Medical Ctr 215 North Main Street, White River Junction VT 05009-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moriarty, Dan can be contacted via phone (802) 295-9363.Contact Information
Primary practice address
Va Medical Ctr 215 North Main Street
White River Junction VT 05009-0001
Phone: (802) 295-9363
Fax: (802) 296-6316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089-0000355 | Vermont |
Profile Details
| NPI number | 1174575971 |
|---|---|
| LBN Legal business name | Moriarty, Dan |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174575971 | NPPES |
| Vermont | Other | 48195 | BC/BS IDENTIFIER |
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